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'o , ,�,,, � 141"i , �, , "M , " " d�i',,`.',JiI,L,,k, .�,,�,,�,A�,,,i�,Pj,-l�,',,o,_ `.�i,.�,,�_'._,,i,;; �",�,,-i,,��",,,,�.."""""�'!"��',,,i""�,i���,,�,�l�,'.!�''-",!-�����,-Ia Antos �.'Town , N S. ­�,­,',r,�eL�!�;lii�:" t,5`,'*,T,"i1 ,yq vt, , � I F 6 W 01 [N,`�-�01�i"1'i�,,`�,i,,�,i���,,,�,�!%11,- _Q - - , �� a) i, ��e�,����",;'tk�,4,t,,�"!,;!,�',i�t,,� , ��,,�,,!";�,; ,,,I" ;� , ,� -""?,�,�!,�i�,,,'i:�;�,,;,�,,,',�,;,�'-�*�., ". - 1- f " ", , ,�',����l",��,11;1���,����1.111-*",""Ii"ll�'il-i'��--l"��,�",...,;!,l -, ,� '11A, _ Town of Barnstable Building Post This Card So That it is Visible From.the Street Approved.Plans Must be Retained on Job and this C_ard:Must be Kept BARNSTABLE, r: - - .. Posted Until Final Inspection Has Been Made.,. ta3q �m11 Fo nwrt" Where a Certificate of Occupancy is Required„such Building shall Not be Occupied until a Final Inspection has been made. rer it Permit NO. B-20-1759 Applicant Name: Thomas Lee Approvals Date Issued: 07/30/2020 Current Use: Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 01/30/2021 Foundation: System _ Map/Lot: 227-111 Zoning District: RC Sheathing: Location: 439 ELLIOTT ROAD,CENTERVILLE F_ Contractor Name: Framing: 1 Owner on Record: FUSCO,JOHN A&SCOTT M&MARK E TRS Contractor License: 2 Address: 439 ELLIOTT ROAD Est. Project Cost: $200.00 Chimney: CENTERVILLE, MA 02632 ) Permit Fee: - $35.00 q, Description: Install 7 Wireless smoke/heat detectors and 8:wired Carbon Fee Paid: $35.00 Insulation: Monoxide Detectors. ; Date: 7/30/2020 Final- Project Review Req: Must meet all requirements outlined in plan review foi-8-20 349 — Plumbing/Gas ( C Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. i The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:"' Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) h:Low Voltage Rough: 6.Insulation g g 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: °!Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Building plans are to be available on site Fire Department Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ' 1 _ Town of Barnstable ' Bu�lding t Post This Card So That it is Visible From the Street-Approved Plans:Must be Retained on Job and this Card Must be Kept resrr�ra�sL a�nsaPosted Until Final Inspection Has Been Made. ern11t ibsg.ems . i JliJl Where a Certificate of Occupancy is Required,such Building-shall Not be Occupied until Final Inspection has made. Permit No. B-20-1075 Applicant Name: Keith Cliff Approvals Date Issued: 05/04/2020 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 11/04/2020 Foundation: Residential Map/Lot: 227-111 Zoning District: RC Sheathing: Location: 439 ELLIOTT ROAD,CENTERVILLE Contractor Name. , Framing: 1 Owner on Record: FUSCO,JOHN A&SCOTT M & MARK E TRS Contractor License: �k 2 Address: 439 ELLIOTT ROAD — - -- Est. Project Cost: $4,034.00 r ^� Chimney: CENTERVILLE, MA 02632 r. Permit Fee: $85.00 i, Description: INSTALLATION OF ONE 10"X10"X20'STAINLESS STEEL FLEXIBLE Fee Paid`; $85.00 Insulation: LINER INTO FIREPLACE CHIMNEY FLUE AS A PERMANENT RE PAIR. Date. ;-r. 5/4/2020 Final: Project Review Req; Plumbing/Gas ( C Rough Plumbing: Building Official . _ final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months a6r,issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or Iroad a,nd shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. r i • � x Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 3.All Fireplaces must be inspected at the throat level 2.Sheathing Inspection Rough: p p before firest flue lining is`in'stalled"�" 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing;and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site / (h. Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r'V� Final: ovv� < Town of Barnstable e wilding �. � �t � � . . Post ThisvCard SaThat rt is 1Lisible"From the Street Approved Plans Must be Retained on Job amend this Card Must bye Kept `s t3A1YNB'CAf3LC, • '' �`. . ,, d§ ' ,., \ a taz.s ,�... g, a n - f g 6PostedUnti l Final Inspection Has Been Made Z s Permit Bntra Whe e a Certif�C to of Occupancy is R�equtred,suh�Build 11 No�teccuped;uhti)a Final�nspectioasbeen md�e Permit No. B-20-349 Applicant Name.: Sand Dollar Customs LLC Approvals Date Issued: 02/20/2020 Current Use`. Structure Permit Type: Building-Family Apartment with Construction Expiration Date: 08/20/2020 Foundation: Location: 439 ELLIOTT ROAD,CENTERVILLE Map/Lot 227-i1i Zoning District: RC Sheathing: Owner on Record: FUSCO,JOHN A&SCOTT M&MARK E TRS Contractor Na me Sand Dollar Customs LLC Framing:: 1 Address: 439 ELLIOTT ROAD Contractor License: 193567 2 CENTERVILLE,MA 02632 $€¢ c Est PhroJect Cost: $35,000.00 Chimney: Description: add kitchenette and laundry to existing finished bosementfor a Permlt Fee: $253.50 Family Apartment- ' Insulation: Fee Paid: $253.50 Main house William and Carrie Cole Date 2/20/2020 Final: Plumbing/Gas Apartment-Janet Cole(mother)George Blaney(step father) ! , ! ( Rough Plumbing: Project Review Re -add smoke alarm and CO alarm outside basement be�droorn J 4 Building Official Final Plumbing: -add smoke alarm 1st floor at base of stairs to 2nd floor -add smoke alarm and CO in office/studyvoutside bedroom Rough Gas: over garage. E � 3 g -add heat alarm in garage $ Final Gas: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within siz months after issuance. Vl­ q ` All work authorized by this permit shall conform to the approved application and the approved construct+on!documents forgwhich this permit has been granted. Electrical All construction,alterations and changes of use of any building and structuresgshall be in compliances ith the local zoning'by laws and codes. a I � � k Service: This permit shall be displayed in a location clearly visible from access streetlor roadand-shall bemaintained open for public inspection for the entire duration of the work until the completion of the same. i �� _ Rou h. r g The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Final: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Low Voltage Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Health 6�Insulation Final: final Inspection before Occupancy Fire Department Oak+ere applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. rk shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). O,^ Application Number....... ........... .......� FEB 04 .. /.................. • .. 20 BARNUABLF" • C MM Fee.....a .?.�!S. .......Other Fee........................ �' ()F BP*t N ` TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval b ......... ��............. ......4zoy. .om. . .�. BUILDING PERMIT Map.......... . ......:............Parcel......///............................. APPLICATION Section 1 — Owner's Information and Project Location Project Address I �a Village e ,► r� l�; Owners Name YL SCANNEV C Owners Legal Address FEB 2 i 204— 'I " " City State Zip Z 3—71 Owners Cell# 4or' 717` 13-6.2 E-mail 6 e fd��Q c�:. lam?16,17�• Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑i Co ercial Structure under 35,000 cubic feet ® Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use f ❑ Demo/(entire structure) ❑ Finish Basement ® FFaamily/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ S ❑ Addition ❑ Retaining wall F SolarItPT. Renovation ❑ Pool ❑ Insulation 1�. `FEB 0 4*2020 Other—Specify Tn%A#R f%r BAnfl BLE Section 4 - Work Description 1 C� � h r r/ a NzY1 ��^ + Cv to ✓Vl® p� v r �' /!e S�- 4 R V�­ Tact nndsited- 11/1 inns R f.* Application Number..................................................... Section 5—Detail Cost of Proposed Construction- +M, h) Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics '❑✓ ❑ Oil Tank Storage ❑ Smoke Detectors ® PIdinbing 'y: ❑ Gas ❑ Fire Suppression q�� ❑ Masonry Chimne ❑ Add/relocate bedroom Heating System' y Water Supply ❑ Public ❑ Private Sewa a Dis osal ❑ Munici al �On Site 7 g P P Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: r �, 1 �, �l �� I am using a crane ❑ Yes No P Section 7—Flood Zone I , I � Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information - I Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required y Proposed, Rear Yard Required Proposed Side Yard Required Proposed 1 Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 - u..w. F- cn: c/x ca cc O m W G _v L 1 / N LLJ LL- Ufa 1 �7co C s� I Po G Vf 8 i-quJfy IC/I >J � S � 6,e Rove,�i SCANNrl FEB 1 ✓P� �Fat; rUrn/U' IlZUv/YI i is 5 13rbf a �� , Fr My moc� SCANNED FEB 2 12020 if w ,- Bed roo m : _ A �) S x -w--- y' r P b- - �.,•° °`err i �' :-✓f�®U,Il''e InG e SCANNED 1 61 S 41 ��'�o �'�'° FEB 2 12020 Office of Consumer Affairs and Business Regulation 1000 Washington Street''- Suite 710 Boston, 2tchusetts 0211S Home Improvetractor Registration Type: Corporation SAND DOLLAR CUSTOMS LLC N Registration: 193567 1851 FALMOUTH ROAD `^ Expiration: 10/29/2020 CENTERVILLE,MA 02632 i a� c f w d'IM sv� Update Address and Return Card. SCA 1 O 20M-05/17 .rTil'e ��n,�r�o�.�iazscc�i�ella Office of Consumer Affalm&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TY Corooration before the expiration date. If found return to: Expiration Office of Consumer Affairs and Business Regulation -_ 10/29/2020 1000 Washington Street-Suite 710 SAND DOLLA Boston,MA 02118 WALTER R.WA 1851 FALMOUTH CENTERVILLE,MA 026 2 Undersecretary NOt V OUt ignature '= Commonwealth of Massachusetts ® Division of Professional Licensure Board of Building Re uI tions and Standards Cons Ad isor CS-091653 es:09/30/2020 WALTER R YYARREM J t 40 ALEXANDpH��DR; � YARMOUTH 6iT'(NA 02676 Commissioner COL 1 The Commonwealth of Massachusetts Department of IndunWdAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): jGf �0/�Q ros/;Ws /Z6 Address:.=)3. 1/JA!A.-S 0 M U ()- City/State/ZipSQ • 0 f/41,0/AA 99 Phone#: Are you an employer?Check the appropriate boa: Type of project(required): 1.E3;1am a /with-employer 4. 0 I am a general contractor and I � . 6. ❑.New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- � the attached sheet. 7. m Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.: required.] 5. El We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LF Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then him outside contactors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. > . I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Nae: tiS. m Policy#or Self-ins.Lie.#: bUC C S��S�U. /9 2,2/d10/ 9 Expiration Date: y3 g ��Q ��- � ,r Oyler C /stae/zi ' Job Site Address: m' P� • Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for incurance coverage verification: I do hereby certify un the airs id penalties of perjury that the informration provided abo`vJe is and correct: Si Date: e Phone#: 4 7 Official use only. Do not write in this area,to be completed by city or town gfcial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and'including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appiu'tenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would bike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 021.11 - Tel.#617-727-4900 ext 406 or 1-877 MASSAM Revised 4-24-07 Fax#617-727-7749 www.nim.gov/dia 7 ' Client#. 765382 2SANDD01 ACOR& CERTIFICATE OF LIABILITY INSURANCE DA1E(MM/DDIYYYY) 12/04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in Ileu of such endorsement(s). PRODUCER O T C The Hilb Group of N.E.dba NAME: AfCNNo Ext:508 775-1620 Dowling 8�O'Neil Insurance Agy E-MAIL arc No 50877812 88 P.O. Box 1990 ADDRESS: Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIC INSURED #. INSURER A:A.I.M.-Mutual Insurance Company 33756 Sand Dollar Customs, LLC INSURERB: 23 Whites Path, Unit G,Suite 1 INSURERC: South Yarmouth, MA 02664 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL UB LTR TYPE OF INSURANCE INSR bWD POLICY NUMBER POLICY EFF POLICY EXP MM/DDMYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE F—IOCCUR PREMISES Ea NToccu Dnce $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- GENERAL AGGREGATE $ POLICY JECT LOC PRODUCTS-COMPfOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident OWNEANY AUTO BODILY INJURY(Per person) $ AUTOS ONLY AUTOS SCHEDULED BODILY INJURY(Per accident) $ AUTOS HIRED NON-OVNVED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WCC50050197212019 12/04/2019 12/04/202 X PER AND EMPLOYERS'LIABILnY OTH- ANY YIN FR OFFICER/MEMBER EXXCLUDED?ECUTIVE N/A E.L.EACH ACCIDENT $500000 (Mandatory yes.describe NH)and E.L.DISEASE-EA EMPLOYEE $500 000 If yes,tlescribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS!LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions.The workers compensation policy does not provide coverage for individuals,partners,or members unless otherwise stated. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE — --- -' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2486331M248632 TB1 i �VE r Town of Barnstable Building Department Brian Florence,CBO BAMSTABT.B. • MAM Building Commissioner Ar 1639. �`a� 200 Main Street,Hyannis,MA 02601 EO DAA'l Office: 508-862-4038 l✓.k 32703 P:966 -8,794 Fax: 508-790-6230 0 2-20--29-12a� a 0 r o 0.3r, AGREEMENT FOR FAMILY APARTMENT We William E. Cole and Carrie A. Cole, the undersigned;being the owners of property situated at 439 Elliot Road,Centerville, MA holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 32648, Page 257, being shown on Assessors' Map 227 as Parcel 111, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment;which contains living quarters,is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupants of Main Residence: William and Carrie Cole Relationship to Owner: owners Residents of Family Apartment: Janet Cole and George Blaney Relationship to Owner: mother and step-father This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department.• WITNESS our hands and seals this v day of 2PO. TOWN O BARNSTABLE: OWNERS: By: Wil E.Cole., Brian Florence,CB O Carrie Cole Building Commissio er THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date Then personally appeared the above-named (owner),!/Ulwbt-iy Z: 0 made oath as to the truth of the foregoing instrument,before Notary PqAic BARNSTABLE REGISTRY OF DEEDS My co fission Expires: THERESA M. SANTOS 177 6Wca Notary Public gsample John F. Meade, Register ' COMMONWEALTH OFMASSACHUSETTS, My Commission Expires September 17. 2021 •s Application Number........................................... Section 9- Construction Supervisor E Name lac. (k( UJc,((V J .T2 Telephone Number Address 0 � f city ar-�N1w4-�1Pc11 state �'V1�i . zip ©�Cn S License Number G License Type c 5 Expiration Date 9/?6/20 Contractors Email uSj -4 F"S . (0 M Cell #' 6 ",3 4 2 "S 0 7� I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and t, documentation md b=780own of Barnstable.Attach a copy-of your license. Signature Date Z /'po Section 10-Home Improvement Contractor Name Telephone Number Address/gs 1 (-a(VV o,H- VJ City State IRO zip o`.)-6 3-�- Registration Numb Expiration Date /0/�9/'a I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 MR and the Town.of Barnstable.Attach a copy of your H.LC... Signature Date Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date a �% Print Name � �j�- ?- 7 v Telephone Number S � ,� E-mail permit to: (0� of 5cx,,,f6(00 Ucc K (v S I /M Last updated: 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation F For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization i I, I h a M E. 6 Le- , as Owner of the subject property hereby authorize S-t 14, 04 1 Iaf Cvs 17ma r4,1J, �jz I�r Wr to act on my behalf, in all matters relative to work authorized b this building permit application for: Y g P PP (Address of job) T Signature of Ownerdate Print Name { Last updated: 11/15/2018 • Town of Barnstable 1ME Tp� Building Department Brian Florence,CBO x BMWSTABLE. MASS. g Building Commissioner �Al i639• 200 Main Street,Hyannis,MA 02601 FD MA'l Office: 508-862-403 8 ; B k 32703 P s 6 6 4`1317 9 4- Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT We William E. Cole and Carrie A. Cole, the undersigned, being the owners of property situated at 439 Elliot Road, Centerville, MA holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 32648, Page 257, being shown on Assessors' Map 227 as Parcel 111, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living_ quarters,is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. Occupants of Main Residence: William and Carrie Cole Relationship to Owner: owners Residents of Family Apartment: Janet Cole and George Blaney Relationship to Owner: mother and step-father '. This unit shall not be rented as an apartment or as a single room,or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. - The consideration.for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this r day of A 20,40. TOWN O BARNSTABLE: OWNERS: By: Willie E:Colx1{ •7 t�{t ,�^ r n Brian Florence,CBO Carrie Cole ' Building Commissio er 7 :0Ar ti� r , THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date � . k Then personally appeared the above-named (owner), /6/a/6A-H- Q made oath as to the truth of the foregoing instrument,before me Notary P is My Co ission Expires: BARNSTABLE REGISTRY OF DEEDS rHERESA M. sANros + P�MOEx / 34a Notary Public • gsample John F. Meade, Register COMmy comLTH sion ExpiresETTS My Commission Expires September 17. 2021 _ -4V 6?p i y, � F , i wp' is TO*B.4Barnstable DofidiDg- Dqwtmeut SUTh= - - Brhn Fkmce,CDO Ba buug Commissioner �. . -�l�saw sya��artw� www . loam ` - 1084624=.. - - 1 -. 204 s� MAIM " monULONLYLY 200 square feet or tee -sty owner's m Teleom n m*w - - Eft aysmsMWn area Wde&mt HWmic DWO . r Fors most fie wit OHI Hfing's Highway C.au cmmnbsbn( is - - - ftm off hdara for Cmmwvadm .30 do 300-400 pLIMMOM litrYOUARRVIIMNTM CWAW-GFMMAWVB COMMMMMM MAYM.AIMVIZ;PROC=AgN4DAPfIAC-&7WNPM - PLUM M TM AFFRO RTATF COMMMONFORDES. TM FORM MUST BX ACCO A M ]BY A .rrM P - ,MORTGAGE INSPECTION PLAN40 Applicant.• ColPi Location: Cm „ewvi lle, o• 0 G 2,St0 dMlP�l l lief '� �i3- Q d tot � s r J . Lot to Boa P uL Title ref.-W2 32- 42 6 3lood Panel: 2.26 of e.0 5&4- Mood Zone.•6EAL cR 9 hereby certify that this mortgage inspection was prepared for 9 No. It o [ !� 0 o 2 4 QisTea o the dwelling shown hereon d Ues* fall in a special 7.E.M..4 flood zone �o "A"or T" with an effective date of :1�-t4 and the location of the dwelling o(rr�s conform to the local zoning by-laws in effect at the time of scale:1"= loo' construction with respect to horizontal dimensional setback requirements Date: i-a-Zo or is exempt from violation enforcementaction underM.91. eh. 40.4,sect.7. 3ileNo. la-2481 Please note:Tile structures shower on this mortgage inspection are shown approximate only.flrr instrument survey is necessary to determine a precice location of structures and property lines.This mortgage inspection must not be used for recordin purposes or for use in preparing deed descriptions and must not be used for variance orburiding deparbnentpurposes.'Verification of building locations, propery line dimensions,fences orlotconfrguration can only be accomplished by an accurate instrumentsurvey which may reflectdifferent information than whatis shown hereon. NOTE: THIS IS NOT A BOUNDARY SURVEY AND IS-FOR MORTGAGE PURPOSES ONLY. COLONIAL LAND'SURVEYING COMPANY, INC. POST OFFICE BOX 350 HUMAROCK MA 02047 P-781-826-7186 F:781-826-4823 • .E COLON LSURVEY®GMAILCOM ;n ineerin Dept. 3rd floor Ma Parcel // g g P ) P _-2 2_ ermit# 5 House# Date Issued °�7r /7 FIBC'8ard of Health(3rd floor)-(8:15 -9:30/1:00-4:30 21.r2,ga �'�fee, 86;60 Conservation Office (4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) t Definitive Plan Approved by Planning Board 19 INSTSEPTIAL 'UST NC INSTAL A PLIANCY 5 TOWN OF'BARNSTABLEENVIRON b CODE AND Building Permit Application TOWN REGULATIONS Project Street Address 4139 ELL /OTT P,0,A�.p Lc,-ram ' Village Owner . 0 J.+N Eu r J Address Telephone Permit Request t�� T'1� ` 2a� F-��,�. L3 ,V �- ��r-r S7� <�P , FT First Floor square feet Second Floor square feet Construction Type 1,R e o iD Estimated Project Cost $ ;_7 O®,e;, Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family UJ-- Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes Q�No On Old King's Highway ❑Yes @-N-o Basement Type: ❑Full ❑Crawl alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing Z New j Half: Existing New C) No.of Bedrooms: Existing New Total Room Count(not including baths): Existing ' _New First Floor Room Count �{- Heat Type and Fuel: ❑Gas W�Oil ❑Electric ❑Other Central Air ❑Yes ©,?4'o Fireplaces: Existing INew O Existing wood/coal stove ❑Yes U�-No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) X Z+ ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name l G, rds Telephone Number 7 7/ Z Z 4; a Address -S-9 Z SGu�Z,b L /�i��, License# 0 ffi�lA-A.wl e F-7©)e_T,' 014 02A�7 Home Improvement Contractor# 1 2-O f l� Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 12/4-4 r,6 tit 0 V z <iM � L SIGNATURE DATE ���f�� BUILDINGPERA DENIED FOR THE FOLLOWING REASON(S) ppppppl FOR OFFICIAL USE ONLY PERMIT NO. ` DATE ISSUED ' MAP/PARCEL NO. ' C ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL: PLUMBING: ROW0H V$ FINAL , GAS: RbUEH FINAL t FINAL BUILDING DATE CLOSED OUT: ASSOCIATION PLAN NO 4*1 —f LINE OF ADDITION _ - ------ --" ---- - - --- I ii •s.reEE srl„.♦Es.o w..�.E•sneo o P. :.,�.,\�.- ------ ^pE Eocuc+Ir own.co.,,En KL _ E \�- I I I r1.5. xevo z>ro 1 vrNE C[CPP Sr nGtES S-lvr ----- _ __ �i� � 1►i'�1 -'i,I� ����~ M��i� ,!i III � � I -TI 1wo N7�11 � REAR VIEW ELEVATION va`• IFoor FRONT VIEW ELEVATION 1/4`•IFoot LINE OE.;rrnnoN . I I BEC Roo- W1 I I�� 71F� I Ili I +� - �— 51TTING AREA - �L : F. Fil _T uNE OFADDITION i SCO 439 ELL OTT RD,CENtTERVI'LE Ni . LEFT SIDE ELEVATION 1/4"•I FOOT _-- --"-- _FLOOR PLAN IM-,IFOOT F'.FiOPOSED ADDITION ti' I �'I _ -_ It.GI:I.nllf•N CLILING'9,WALL$'u,FICOi?S INTL!ICk Vl.1LlS' 1/�:nI:I C^AT A' ROOF SI•INGIES-M..T•:n E%ISTI.14 ELE_ r LLIl11,G FAN fiN-'/ni:,ll EYIGTING•Tv,Ttl. .Bain,MCAT l-'dP/L`A'JSi Fix \ \ tg.yY A OORMER _ �' \ \ /6'OC \E%ISTI NG MAIry MOUSE XOLNER FIXTURES ' FIBERGLASS TJB 5• I SWEAT FPEE W.L. • I 2.B LEIUNG JOIs. r6_01 / \ \ i HALL � CLOSET NnsTE;F.ATII \ '\ 2nS r.-O;R. • 1 II 31,l GFLVWGOO spa 2X8 LO R J ISTII to O.C. RIGII AN 'ES G AGEI EU GJO —Ts a'oc , FRAMING DETAIL vz •I FOOT } - ........ - .. 5.OL I I t I I (I E q E.s / Lax BEAx ( 2�K PqF TERS 1 i I I I � I _ . l i I I I/2 ILEI. �; I 'r'•I: IL - ,r j r .. 1 '2KTVII;QOk701�_ NFt �" I __ ..• ��.� �— _i 12'wF BEAx _—.- - II. of r jl - II N;� alm gg : FRAMINC,PLAN LEFT SIDE -IFOOT FRAIONG PLAN FRONT VIEW.W-.FOOT �AZ.�AIR�.JCFIN FUSO - -- -.._ - NA _,.,....r ICTT FD.CENTRPOLL MA PROPOSED ADDITIONrt • � �/� ���, �� O�✓ZIP . . , Restricted To: DEPARTMENT OF PUBLIC SAFETY v CONSTRUCTION SUPERVISOR ,TCENSE 00 - None Number: Expires: 1G - 1 R 2 Emily Homes Restricted To:, 00 Failure to possess a current edition of the Massachusetts State Buiilding Code TYLER H FOSTER is cause for revocation of this license, 192 SCUDDER AVE FO BOX 564 HYANNISPORT, MA 02647 �T p 'i .. ✓fie i�a�nmemw�ea/,/�eo�./��aaoac/uarL1a rT' HOME IMPROVEMENT CONTRACTOR Registration 120963 -, ' Type - PRIVATE CORPORATION :_ Expiration 03/25/98 T.H. FOSTER INC ,TYLER H. FOSTER 92 SCUDDER AVE/PO BOX 564 noMiNisTRaToa HYANNISPORT MA 02647 w - Thc• Cotnnton wealth of.1 fassac h usciic •�ii _ j•�.- Department of Industrial Accidents ` /� pl�ceal/nvestlgatlons 600 f f'a-v1dii ttttt Street • ':' Bustott. ,11u�s. O2I11 Workers' Compensation Insurance Affidavit AaliEnt information'• _Plc�se PR(NT lei 61� , I •name• 1 vL ��� Incition• S:a7 �� r TI7� A a: rr city 1'I'ilil'wAW/C 2,G/2T 14"A , nhonc p I am a homeowner performing all wort: mvself. Tam a sole proprietor and have no one working in any capacity _ • r��' «.r_I.+,r�.�'.7Hv�M�-fwal.{T�'../�'��.ir7A-o .. ..•�T..w�.�!'...�Y-'�w..r.�.w�� Nw•+._�'...��..... [j I am an entplover providing workers' compensation for m% empiovees working on this job. •tddrest• �� ���� 17 � . nhnne tt• �--- A9 Lv C s W Z A Sb-Z Z 366,01 insurance en 1\�,o CZ]=0 [� I am a sole proprietor bctreral contractor,�or homeowner(c1•rcle ate) and have hired the contractors listed below who have the following workers co" mpens�t�on p tot ces: comnanw nuns• EdUc C---, -"-AxI nhone ii, 77,5--1� 3 insurance ro fL1/� nniics t!LAG 79?e� 7zC3 I comnnns• n•ttnc• address- rite phone i!: insur•nce co nnlic�•0 •Attachadditio_nalsheetifneccssa_rv`=�»--•: r ^_-•� -^+�'"�•��.;L'•;�=�='''-=-.;_���=__ �'=.:-'.�=�---=���:�:—•"`:,�.y.�=n. Failure tti secure cuveraee as required under Section:SA of NIGL 152 can Iead to the imposition of criminal penalties of a line up ro SI.500.00 andiur one cars'imprisonment:ts swell:is civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a dap against me. I understand that a cope of this.statement maw be funwarded to the Olrce of lnvestigntions of the D1A for coverage verification. l rlo herebt•cerrift•tattler the pants and penalties of Crjun•that the information provided above is true and correct. Signature Datc / 7 Print name / v��-7L_ A F�U<�E7Z- Phone* 7�'/ Z O-� O ,.._.:. ofcial use univ do not write in this area to be completed by city or town official ` cin or town: permit/license# rIBudding Department ❑Licensing hoard M check if immediate response is required ❑S•electmen's Office ❑Health Department contact person: phone#; .101her t. Information and Instructions ; Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees.,.As quoted from the "law an emplitree is defined as every person in the service of another under anv contract on ire. express or implied. oral or written. An empl( rer is def incd as an individual. partnership, association, corporation or other legal entity. or any two or more . the foreuoing encaued in a.joint enterprise. and including the legal representatives of a deceased emplover. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling_ hour or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter it,a been presented to the contracting authority. r' Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the cite or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have anv questions regarding the "law" or if you are required to obtain a «•orkers' cotnpettsation police, please call the Department at the number listed below. City or,rolwns "lease be sure that tite affidavit is complete and printed legibly. The Department has provided a space at the bottom of :he affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas -)e sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to he Department by mail or FAX unless other arrangements have been made. The Office of Investi_ations would like to thank you in advance for you cooperation and should you have any questions. Tease do not hesitate to Live us a cz-ll. - i lie Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents `r _ Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (6I7) 727-7749 phone #: (6I7) 7274900 ext. 406, 409 or 375 : . . : The Town of Barnstable snarrsTABM • 9� MAE& ,m� Department of Health Safety and Environmental Services N9. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen rax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. If Type of Work: ADC1i =QA1 Est.Cost Z4,,,og�>� Address of Work: � �L[_10 Z/— LD, CE-47MW/ Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name TOWN OF BARNSTABLE Permit No. ------2845U = Building Inspector Cash ,26) OCCUPANCY PERMIT Bond Issued to Joan Fusco Address lot #9 439 Elliott Road, Centerville Wiring Inspectbr----, Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date-'�� THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL b SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. r � .. ��.,.. .., _. ..............................Building Inspector ...... l r ..�°•. TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit $k........�...........✓...�. . ... . _............. . ..................._.......................................................... ...._ .... _. ...._... ..... issued to/-� ,� ..._.. .c l SCQ........ /•,,.........�........... ........_-' V .. k Please release the performance bond. �� w THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A � m / � LI DATA PINK -DEPT. FILE COPY I WHITE - FIELD COPY /YELLOW - APPLICANT COPY BUILDING ' . TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT -,A L,D A T I oN 7—Iil ✓ • _ DATE JUT. 12,:.1 rl 19 _) PERMIT NO. - " APPLICANT ADDRESS INO.1 (STREET-)' (CUNT R'S LiCC NSEI NUMBER OF uL i.-(` 11;:'_l�i:" (�) STORY .�it�•� - i...,..'-.' 1:. " DWELLING UNITS PERMIT TO (PROPOSED USE) (TYPE OF IMPROVEMENT) N0. ZONING DISTRICT ` AT (LOCATION) LOL 3•. 439 INO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION 1 (TYPE) REMARKS: - .�c_ _ ; 71' AREA OR _ PERMIT s i', ESTIMATED COST 1'- } FEE VOLUME -= (CUBIC/SOUARE FEET) _ OWNER -... _.. ._y _-- -:..y BUILDING DEPTj/'' BY ADDRESS _ -PAlR THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET. ALLEY OR ST6EWQLIZ OR—XN1T-T}f£REOF.cIT F'(ER-TFN•PORARIZY-04 1 PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS HERE PERMITS APPLICABLE SEP FOR ARATE ED INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH1. FINAL INSPECTION HAS BEEN MADE. .3. FINAL INSPECTION.BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 � 1 ` Z 1 2C /7 H=AT!•:C IN°F£CT.'NG A—ROVALS REF I I MOM OF 11EALE n'cv. SHALL NC- EED .:NT:L THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION iN3PE:TIDNS INDICATED 04 TH!S CAR- -�E VAQ 0 US WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN EE ARRANGED Fc= By TELEPRCNL oR WRITTEN NOTIFICATION. E-AGES OF CONSTRUZ-110L. PERMIT IS ISSUED AS NOTED ABOVE. ,* It . (2), . I Asserssors map and lot number FTHET Sewage Permit' number g Sor ��C SEPTIC SYSTEM MUST S o ► � � ���� .................. INSTALLED IN COMPLIAN 8 L ARNSTAD i House number ........:. ..1�........:.....`......... ......:.... - " b a s, Z WITH TITLE 5 ENVIRONMENTAL CODE A, �o a 39 • TOWN, OF BARN �. IONS BUILDING ASPECTOR APPLICATION FOR PERMIT TO .... ......... . .......................................... . .. TYPEOF CONSTRUCTION .......:...............:............ ........................................................................ ' ................. .19X? TO THE. INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:' E Location ..Lot...9..Elliott R .r.......G�.ZIP. .V. .7,a ............................................... .... ..... ....................................................... ProposedUse ..Single...family.... ........................................................................................................ _ Zoning District ............ 4� ................................................Fire District ............. ...0......................................................... Name of Owner .John„Fusco..,,,,....„.._„,,,,,,,,,,,,,,,,,,,,,,,,,Address A..F.rothingh,am..Rd_...aur-Iingtcan.,.:..M.A. Name of Builder TYler„,Fos.t.0-X.....................................Address ..5.9.2... S.CUddar...Ave-...Hyann.isP.ort........ Name. of Architect .......S.=e................................................Address .................................................................................... Number of Rooms ....................a..............................................Foundation ...concrete...................................................... Exterior ....:KQQ.d...f. AMe.....................................................Roofing ....E.iberglass...shingles.............................. Floors .......W0.04.....................................................................Interior ......I'.hin...Cf;at••pl•a-stee:................................... HeatingP Hc1t..zi�ater...ka�r...ai�..........................'............Plumbing ..3 ...bathes...... VC ..................................................... - --- Fireplace .....1..........................................................................Approximate. Cost ...!: 5,0.0.0..,.0.0....................................... L Definitive Plan Approved by Planning Board --------------------_-----------19________. Area .........�� .i�-1 " Diagram of Lot and Building with Dimensions Fee / S' ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH , r t l' D OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... Construction Supervisor's License ..t ....J... � 77FUSCO, JOHN r N2AtQra .... emor ....: . Y............ .......Single Fami1v Dwe ing....................... ...........................1.1..... Location ...... ......439...Elliott. . . . ...R.o.q.d..... Centerville -,i.................... .t.erv.i.1le........................................ . ...... . ...... Owner ..........J.o.hn..F.u.s.5;R.................................. Type of Construction ....Fgimg............ ................................................................................ Y, Plot ............................ Lot ................................. �iX I Permit Granted Septemb.e..r.....2..0..,......19 85 ...................... Date of Inspectio 134619 al., {r. Date Completed . .... ... . 00 ........1 OX > 1-- rn t ; 3: < a M I cr rj r t Assessor's map and; lot number ..,U-7.:" .............. -�7 `� O K PROF 7N E Tp�1 Sewdje Permit number ........�..............71 '�........ ............. {� Z EAR33TADLE. • r., s • j Ho"�se ' ber 3 //y t639- a wara\0�' TOWN OF BARNSTABLE BUILDING INSPECTOR d01-1, APPLICATION FOR PERMIT TO .............................................. ........... .... ............................................ TYPEOF CONSTRUCTION .....................:............. ..�E... ?`t:.......................................................................... ((1� .......... . ..................19.. . TO THE INSPECTOR- OF BUILDINGS: ,, The undersigned hereby applies for a permit according to the following information: 1� Location .Lot..9..Elliott...Rd, rV.�..�, ................ ........ :.... .. .......................... ... Proposed Use ..Single...family,..rg.r e.UAI. ........................................... .................................................... cl�r ...:::....... ...�........... Zoning District j� ................................... ..............Fire District ............................................... Name of Owner .J.ohn...FLiSCO...........................................Address .8...FrOtt'Ll'xlft�l�.EC -Rd.•....BL1x Z?11at n. ......Ma. Name of Builder TV19T...FOStOl .....................................Address .5.9.2...S.Cud!?ar...AS?e.....Nei'.c Ame.—Hyann.i.s.Part......... Nameof Architect .......5.44 .e................................................Address ...............................................:.................................... Number of Rooms $ Foundation ...cony ete................ Exterior ....W...00.....d...tr..a.T?le...:....:....................................,.......Roofing ....Fi her nla5s...shing?e4.............................. Floors ......Wood.....................................................................Interior ....Thin...co-at.. Ia.st:8r................................... s Heating. ..T: ot...,rdater...by...od.... ....... .......Plumbing ..J3�:..b? 'ka,�.:..�?VC................................:...........:. 'Fireplace .....Approximate. Cost' ...135 .000.00 Definitive Plan Approved by Planning Board _1---------. ........�..!.. � - -------------------19-------- . Area ..� :...... Diagram of Lot and Buildingwith Dimensions Fee .... f. . ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH , t qD 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License �. ? � FCSC0, J08N A=227-111 ' . No ~.. ~...~ . ` �*� ` ' ^^ ..�` — .. ~ Location —bP�..9"..A�9. —.R�ad--' / /� - �, . . . = Centervillp -------------------------- Owner --.Jylgl..���qq..................................... ' . ^ Type of Construction ..........Framp:------- . ` . . . . --------------------------' ` pk» ............................ Lot ................................ � . / ' Permit Granted ....Se te—n—�b�r—2-0.�-- V85 - - ^ Date of Inspection ....................................lg ^ Dote Completed ...................................... � . � � ^ \J ^ v // ~ . ' - ' - . - � � . "' � C� 00 wE r G w,k p Gj o . 0 33'i God o O N � • Ah �k ry � 2 0 v' v 4 N p t� W EA��� OF �� 0 {1 FRAC. NK o . WHITING H v �o� No.29869 0 61;T ER`�� ate` L LA 40 .4Ccv,e..�s��' �c�.Csisy o�✓ _ �G.�✓ 'emu-��SCS a.vG y .tzvv CA1E COD SURVEY CONSULTANTS 3261 MAIN ST./ROUTE 6A r BARNSTABLE VILLAGE, MA 02630 (617) 362-8133 °'01 o� wE T G Ancp _- 30 0 I 0 U '�� po 0 _ W 0 j /D.✓\ ` f i � o I• • L/�/T o6 i 3 � �. 0 A16r C 0 Yts`fr•eST�4 Ti o�/ �v 1 � � 0 S Er r-o3 A coif.$ ` � W 0 61317 N OFC. Q A FRANK �. p o. WHITING H No.29869 0 l, LAND gg 5 a?o.00 jZs 2;SS.a® T.ys- srevc r�,e� oE-,aicr�o �G o -7' oN �s .QG.Q.ti/ �-v.,s G o c.,sr�.v gib✓ �Ccv,G',.ss7� S�•.Cd�ry one - g//b g J �f/oc.�.�/ .qs o,c y,�✓�.av TE . o.c"G-oo�Ti o�✓. 4 p . ..�...� �� •�'�.��os CAPE COD SURVEY CONSULTANTS 3261 MAIN STJROUTE 6A y • BARNSTABLE VILLAGE, MA 02630 -8133 (617) 362